1 |
-Sensory awareness |
-Provide information about chronic cough |
-Counseling on chronic cough, laryngeal well-being and control of laryngeal irritating factors with the support of educational material |
-Provide information on laryngeal well-being |
-Map the cough |
-Anticipate when a cough will occur and control, suppress or replace the cough with strategies that interrupt its cycle |
-Train distraction, control and suppression techniques in a clinical situation without the cough trigger (20 repetitions of 5 to 10 seconds each) |
-Train respiratory muscles |
-Guide and identify breathing type and rhythm |
-Work PPAC |
-Pressure biofeedback technique (3 minutes) |
-Reduce tension in the laryngeal accessory muscles |
-Deaf fricative sound /s/ (1 minute) |
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-Cervical movements associated with fricative deaf sound /s/ (2 minutes) |
At home (5 times a day) |
-Read educational counseling material |
-Train distraction, control and suppression techniques when asymptomatic (20 repetitions with 5 to 10 seconds each) |
-Deaf fricative sound /s/ (3 minutes) |
-Cervical movements associated with deaf fricative sound /s/ (3 minutes) |
2 |
-Sensory awareness |
-Anticipate when a cough will occur and control, suppress or replace the cough with strategies that interrupt its cycle |
-Resume counseling and ask questions |
-Voluntary behavioral substitution |
-Train respiratory muscles |
-Train distraction, control and suppression techniques when symptomatic, exposing them to risky situations (20 repetitions with 5 to 10 seconds each) |
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-Work PPAC |
-Pressure biofeedback technique (3 minutes) |
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-Reduce tension in the laryngeal accessory muscles |
-Aphonic blow in latex tube immersed in water (3 minutes) |
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-Adjust resonance focus |
-Fricative sound in sound passage (1 minute) |
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-Reduce phonatory effort and supraglottic constriction |
-Cervical movements associated with fricative sound /v/ (2 minutes) |
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- Nasal sound /m/ (3 minutes) |
At home (5 times a day) |
-Train distraction, control and suppression techniques when symptomatic, exposing to risk situations (20 repetitions with 5 to 10 seconds each) |
-Fricative sound in sonority passage (1 minute) |
-Cervical movements associated with fricative sound /v/ (2 minutes) |
- Nasal sound /m/ (3 minutes) |
3 |
-Voluntary behavioral substitution |
-Anticipate when a cough will occur and control, suppress or replace the cough with strategies that interrupt its cycle |
-Resume counseling and ask questions |
-Train respiratory muscles |
-Map the cough |
-Work PPAC |
-Train the continuous use of distraction and suppression techniques with exposure to cough triggers (30 seconds each and gradually increasing the duration of exposure according to the patient's tolerance) |
-Reduce tension in the laryngeal accessory muscles |
-Pressure biofeedback technique (3 minutes) |
-Adjust resonance focus |
- Nasal sound /m/ (3 minutes) |
-Mobilize vocal fold mucosa |
-Cervical movements associated with fricative sound /v/ (1 minute) |
-Reduce phonatory effort and supraglottic constriction |
-Fricative sounds in sequence /v/ /z/ /j/ (2 minutes) |
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-Phonation in latex tube immersed in water (3 minutes) |
At home (5 times a day) |
-Train continuous use of distraction and suppression techniques with exposure to cough triggers (30 seconds in the first workout and gradually increase the duration of exposure by 1s according to tolerance) |
-Rotation of shoulders associated with the fricative sound /v/ (3 minutes) |
-Nasal sound /m/ (3 minutes) |
4 |
-Generalization |
-Anticipate when a cough will occur and control, suppress or replace the cough with strategies that interrupt its cycle |
-Resume counseling and ask questions |
-Train respiratory muscles |
-Resume suppression and distraction techniques and ask questions |
-Work PPAC |
-Nasal sound /m/ followed by vowels (3 minutes) |
-Adjust resonance focus |
-Fricative sound /v/ followed by vowels (3 minutes) |
-Mobilize vocal fold mucosa |
-Phonation in latex tube immersed in water with frequency modulation (3 minutes) |
- Reduce phonatory effort and supraglottic constriction |
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-Stabilize glottic closure |
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At home (5 times a day) |
-Train continuous use of distraction and suppression techniques with exposure to cough triggers (gradual increase in the duration of exposure as tolerated) |
-Nasal sound /m/ followed by vowels (3 minutes) |
-Fricative sound /v/ followed by vowels (3 minutes) |